National Provider Identifier Database

CARBONATE RECOVERY CENTER INC
Addiction (Substance Use Disorder)


Contact Information

CARBONATE RECOVERY CENTER, INC
101 EMPTY SADDLE TRL STE 120
HAILEY, ID83333-8437
Phone: 208-928-7507
Fax:
Website:
Specialty Taxonomy Code
* Addiction (Substance Use Disorder) 101YA0400X
Rehabilitation, Substance Use Disorder 261QR0405X

* Indicates primary specialty

NPI Profile & details for CARBONATE RECOVERY CENTER, INC

NPI Number 1225884216
Legal business name
LBN
CARBONATE RECOVERY CENTER, INC
Authorized official KIMBERLY HAYES - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 04/29/2024
Last updated 04/16/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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